HESI Pharmacology Combined Study Guide with Practice Questions and Answers. -Community: PARKINSON medication Assess for signs and symptoms of PD Masklike expression Speech problems Dysphagia Rigidity of arms, legs, and neck Main med is Sinemet: Levodopa/Carbidopa Levodopa converted to dopamine. Carbidopa increase its effectiveness and prevents or les sens levodopa side effects Levodopa side effects: nausea, vomiting, heart rhythm disturbance TEACHINGS: Take on empty stomach at least 30 minutes, or one hour before meals oThere are two forms of Sinemet, controlled-release or immediate-release Sinemet. Controlled-release (CR) Sinemet and immediate-release Sinemet are equally effective in treating the symptoms of Parkinson's disease, but some people prefer the controlled release version. -Cardio vascular - Nitroglycerin- Decreases BP Nitroglycerin - Anti ANGINA Meds, chronic heart failure Prototypical nitrate : POTENT VASODILATOR Large first-pass effect with oral forms Used for symptomatic treatment of ischemic heart conditions (angina) IV form used for BP control in perioperative hypertension, treatment of HF, ischemic pain, pulmonary edema associated with acute MI, and hypertensive emergencies Available form: Sublingual tablets, sprays and patchesNitroglycerin Teaching Instruct patients in proper technique and guidelines for taking sublingual nitroglycerin for anginal pain Instruct patients never to chew or swallow the sublingual form Instruct patients that